Anthony, Tiffany L

Anthony, Tiffany L is an individual health care provider with primary practice located at 7777 Forest Ln Ste B446 , Dallas TX 75230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as her primary health care specialty. Anthony, Tiffany L can be contacted via phone (972) 566-8822.

Contact Information

Primary practice address
7777 Forest Ln Ste B446 Dallas TX 75230
Phone: (972) 566-8822
Fax: (972) 566-8861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X M9808 Texas

Profile Details

NPI number 1235393208
LBN Legal business name Anthony, Tiffany L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2008
Last updated Jul 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235393208 NPPES
Texas MEDICAID 198139101
Texas Other 8H8678
Texas MEDICAID 198139103
Texas MEDICAID 198139104

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